Basic Information
Provider Information
NPI: 1689694176
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRONCI
FirstName: GINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 3441 DATA DR
Address2: #438
City: RANCHO CORDOVA
State: CA
PostalCode: 956707987
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 9837 FOLSOM BLVD
Address2: SUITE F
City: SACRAMENTO
State: CA
PostalCode: 958271356
CountryCode: US
TelephoneNumber: 9168565700
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X40876CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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